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2004-10-18_REVISION - M1980244 (23)
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2004-10-18_REVISION - M1980244 (23)
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Entry Properties
Last modified
6/15/2021 5:49:52 PM
Creation date
11/21/2007 5:44:35 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980244
IBM Index Class Name
Revision
Doc Date
10/18/2004
Doc Name
Ph. IVc VOL.II Subgrade Accept. Forms
From
Golder Associates Inc.
To
DMG
Type & Sequence
AM8
Media Type
D
Archive
No
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<br />• CERTIFICATE OF ACCE <br />GEOSYNTHETICINSTALLER <br />COMPANY: ~p[~~_,-/Fx Ca~s1'~ 1~1c <br />ADDRESS: <br />sue.-grid f:n,r.~e,T.~ ~sz~sl <br />• <br />I • <br />PTANCE OF SOIL SURFACE <br />PROJECT <br />LOCATION ,O,/y ~E 77 <br />PROJECT CC 1 ~ ~),i//jJE %V1 iven CQA~Cp <br />OWNER CC t t% <br />I, the Undersigned, the duty authorized representative of ~°g; ~y~r y <br />do hereby accept the area of soil surface bounded by D,~.e /s c -3 SFi ~r. ~^`3(02 <br />and shall be responsible for maintaining its integrity and suitability in accordance with the project <br />specifications from this date to the completion of the installation. <br />~ ~ ~ ~~/~ <br />ME SIGNA RE ITL DATE <br />CERTIFICATE OF ACCEPTANCE RECEIVED BY CQA ENGINEER <br />~?r. <br />/U <br />Reviewed by' te: ~ -la - o <br />Approved by: Date: <br />File No: <br />GOLDER ASSOCIATES <br />
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